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HomeMy WebLinkAboutGibraltar - $1,437' Regions Bank hereby is instructed to make a disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower in: (a) the amount of the "Total Authorized Disbursement" line in the "Amount of Authorized Disbursement" column below; and (b) accordance with the terms and conditions of the Agreement, the other Loan Documents, and the Disbursement Instructions. Purpose of Authorized Disbursement Amount of Authorized Disbursement Amount to be paid by Carmel Theater Development Company as per the PAC Hardscape installment purchase contract Application 13 (Gibraltar) November 2011 $ 1,437.00 Total Authorized Disbursement $ 1,437.00 All terms used in these Disbursement Instructions without definition shall have the meanings ascribed thereto in that certain Loan Agreement (Equipment and Improvements), dated July 22, 2010, by and between Regions Bank and Carmel Theater Development Company, LLC. Dated: 1/SAL. CITY OF CARMEL REDEVELOPMENT COMMISSION By: Printed: Title: Les S. Olds Executive Director It is acknowledged and agreed by the parties that CRC has reserved the right to require, as a condition of authorizing disbursement of Loan Proceeds from the Borrower Loan Account to (or for the account of) Borrower: (a) completion of a satisfactory inspection by CRC of the portions of the Equipment and /or the Improvements to which the disbursement relates; and (b) receipt of customary submittals. Draft Hardscape (Gibraltar) Up Through June 2010 (applications 1 and 2) Amount reimbursed to CRC $ 55,515.60 July 2010 (application 3) Paid by Carmel Theater Development Company $ 108,784.80 August 2010 (application 4) Paid by Carmel Theater Development Company $ 150,043.50 September 2010 (application 5) Paid by Carmel Theater Development Company $ 667,099.10 October 2010 (application 6) Paid by Carmel Theater Development Company $ 128,715.00 November 2010 (application 7) Paid by Carmel Theater Development Company $ 62,034.00 May 2011 (application 8) Paid by Carmel Theater Development Company $ 51,229.00 June 2011 (application 9) Paid by Carmel Theater Development Company $ 576.00 August 2011 (application 10) Paid by Carmel Theater Development Company $ 50,000.00 September2011 (application 11) Paid by Carmel Theater Development Company $ 31,850.00 October 2011 (application 12) Paid by Carmel Theater Development Company $ 12,400.00 November 2011 (application 13) Amount to be paid by Carmel Theater Development Company $ 1,437.00 i� /� Document G702/CMaTM -1992 Application and Certificate for Payment Construction Manager - Adviser Edition TO OWNER: Carmel Redevelopment Commission One Civic Square Carmel, IN 46032 FROM CONTRACTOR: PROJECT: Regional Performing Arts Center Gibraltar Construction Corp VIA CONSTRUCTION MANAGER: 2932 N. Webster Ave. Indianapolis, IN 46219 CONTRACT FOR: Hardscape Package P8 VIA ARCHITECT:CSO Architects, Inc. APPLICATION NO: 13 PERIOD TO: 11/28/11 CONTRACT DATE: 4/13/10 PROJECT NOS: Distribution to: OWNER ❑ CONSTRUCTION MANAGER ❑ ARCHITECT ❑ CONTRACTOR ❑ FIELD ❑ CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. 1. ORIGINAL CONTRACT SUM $ 1,268,000.00 2. Net change by Change Orders $ 60,616.00 3. CONTRACT SUM TO DATE (Line 1 ± 2) $ 1,328,616.00 $ 1,320,684.00 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) 5. RETAINAGE: a. To of Completed Work (Column D + E on G703) b. % of Stored Material (Column F on G703) $ 1,000.00 Total Retainage (Lines 5a + 5b or Total in Column I of G703) .. $ 6. TOTAL EARNED LESS RETAINAGE (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 Less Line 6) 1,319,684.00 1,318,247.00 1,437.00 8,932.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $ $ Total approved. this Month $ $ TOTALS $ $ NET CHANGES by Change Order $ The undersigned Contractor certifies th belief the Work covered by this Applic Contract Documents, that all amou s h Certificates for Payment were payment shown herein is now d CONTRACTOR: Gibraltar Co By: State of: County of: 1,91�., Subscribed and sworn t me this day Notary Pub My Commission ex to the best of the Contractor's knowledge, information and on for Payment has been completed in accordance with the 'e been paid by the Contractor for Work for which previous d payments received from the Owner, and that current Date: // // CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on -site observations and the data comprising this application, the Construction Manager and Architect certify to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality ofthe Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CER'1'111>~D. BRIAN R. MCBRIDE Res, of Hancock County My Comm. E. 11 -29 -2017 Comm ssion # 611862 AMOUNT CERTIFIED $ (Attach explanation if amount certified ed differs fro amount: applied. Initial al7 figures on this ontinuation She hat angedto conform with the imount c. fied.) Application and on t CONS . CTION MA By: ARCHIT T � 1. ER: Inc Date: By: i �`�: .' : Date: This Certificate Ts ,.not negotiable. The AMOUNT CER'1'IhlE.D is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. CAUTION: You should sign an original AIA ,Contract Document, on which this text appears in RED.. An original assures that changes will not be obscured. AIA Document G702/CMaTM - 1992. Copyright © 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. CONTINUATION SHEET Page 2 of 3 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply. APPLICATION NO.: 13 APPLICATION DATE: 11/28/2011 PERIOD TO: 11/28/2011 ARCHITECT'S PROJECT NO. : A B C D I E F G H I ITEM NO. DESCRIPTION OF WORK SCHEDULED VALUE WORK COMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STORED TO DATE (D + E + F) rya (G / C) BALANCE TO FINISH (C - G) RETAINAGE (IF VARIABLE RATE) FROM PREVIOUS APPLICATION (D + E) THIS PERIOD 1 Concrete Allowance $35,000.00 $34,889.00 $34,889.00 100% 111.00 2 Motorcoach Connect Int. Allow $25,000.00 $25,000.00 $25,000.00 100% - 3 Motorcoach Connect Ext. Allow $25,000.00 $16,728.00 $1,437.00 $18,165.00 73% 6,835.00 4 Allowance - 100 CY Stone $4,500.00 $3,514.00 $3,514.00 78% 986.00 5 Allowance - 5000 SF Geogrid $3,500.00 $3,500.00 $3,500.00 100% - 6 Allow. - 30 Galvanized Sleeves $1,500.00 $1,500.00 $1,500.00 100% - 7 Supervision $10,000.00 $10,000.00 $10,000.00 100% - 8 Bonds $19,940.00 $19,940.00 $19,940.00 100% - 9 Mobilization /Demobilization $1,500.00 $1,500.00 $1,500.00 100% - 10 Submittals $12,000.00 $12,000.00 $12,000.00 100% - 11 Misc. General Conditions $12,000.00 $12,000.00 $12,000.00 100% - 12 Rebar Material $7,500.00 $7,500.00 $7,500.00 100% - 13 Trench Drain $4,000.00 $4,000.00 $4,000.00 100% - 14 Concrete Curbs $89,000.00 $89,000.00 $89,000.00 100% - 15 Concrete Walks /Slabs $93,000.00 $93,000.00 $93,000.00 100% - 16 North Stair $25,000.00 $25,000.00 $25,000.00 100% - 17 Sheet Waterproofing $12,000.00 $12,000.00 $12,000.00 100% - 18 Green Roof & Decomposed Granite $104,500.00 $104,500.00 $104,500.00 100% - 1,000.00 19 Electrical $21,000.00 $21,000.00 $21,000.00 100% - 20 Earthwork $240,500.00 $240,500.00 $240,500.00 100% - 21 Site Signs $3,000.00 $3,000.00 $3,000.00 100% — 22 Joint Sealants $560.00 $560.00 $560.00 100% - 23 Concrete Pavers $128,400.00 $128,400.00 $128,400.00 100% - 24 Permable Pavers $31,200.00 $31,200.00 $31,200.00 100% - 25 Porous Pavers $14,400.00 $14,400.00 $14,400.00 100% - CONTINUATION SHEET Page 3 of 3 APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification, is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column Ion Contracts where variable retainage for line items may apply. APPLICATION NO.: 13 APPLICATION DATE: 11/28/2011 PERIOD TO: 11/28/2011 ARCHITECTS PROJECT NO. : A B C D E F G H I ITEM NO. DESCRIPTION OF WORK SCHEDULED VALUE WORK COMPLETED MATERIALS PRESENTLY STORED (NOT IN D OR E) TOTAL COMPLETED AND STORED TO DATE (D +E +F) % (G / C) BALANCE TO FINISH (C G) RETAINAGE (IF VARIABLE RATE) FROM PREVIOUS APPLICATION (D+ E) THIS PERIOD 26 Granite Pavers $296,000.00 $296,000.00 $296,000.00 100% - 27 Topsoil $48,000.00 $48,000.00 $48,000.00 100% - 28 Change Order #1 $29,409.00 $29,409.00 $29,409.00 100% - 29 Change Order #2 $31,207.00 $31,207.00 $31,207.00 100% - 30 31 32 33 34 35 36 37 - 38 - 39 40 41 42 43 44 45 46 47 48 49 50 $1,328,616.00 $1,319,247.00 $1,437.00 $0.00 $1,320,684.00 99% $7,932.00 $1,000.00 ISA Form # 1 -402 AFFIDAVIT AND WAIVER OF LIEN ❑ FINAL ® PARTIAL ® PAYMENT TO FOLLOW State of Indiana, County of Marion, SS Michael Smith being duly sworn state that he is the President of Gibraltar Construction Corp having contracted with the Owner to furnish certain materials and / or labor for a project known as Parcel 7A, Regional Performing Arts Center Hardscape Package P8 and owned by Village Financial, LLC. and does hereby further state on behalf of the aforementioned contractor: (PARTIAL WAIVER) that there is due from the Owner the sum of One Thousand Four Hundred Thirty Seven and No /100 Dollars ($1,437.00) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration of this Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the Owner is the sum of Dollars ( ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THERFORE, the undersigned waives and releases unto the on the above - described property and improvements thereon a undersigned thereto, subject to limitations of conditions ex has any claim or right to a lien on account of any work pe and within the scope of this affidavit and waiver. Gibraltar Construction Corp By wner of said premises, any and all lien or claim whatsoever count of LABOR or material or both, furnished by the ed herein, if any; and further certifies that no other party d or material furnished to the undersigned for said project, WITNESS MY HAND AND NOTORIAL SEAL, th'-- Title President f November, 2011. ..A 1979 INDIANA SUBCONTRACTORS ASSOCIATl0N 1NCOPPORATED un7utnor•ted RegmoduClrOn 17,074tbnipel (Notary Public) PRIAN R. MCBRI E Ae6'. Of Hancock County tt 1', E4, Rev 19*7